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Optic nerve damage, sometimes called traumatic optic neuropathy, is one of the most common and serious complications following traumatic brain injury. Optic nerve damage is mainly manifested as decreased vision, visual field defects, and abnormal pupillary responses to light. Because optic nerve injury is most common in car accident trauma or head impact injury, many patients may often have craniocerebral or maxillofacial trauma. After many patients are injured, they may also be comatose or unconscious.